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License Agreements and Acquired Product Rights - Additional Information (Detail) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2019
Sep. 30, 2018
Sep. 30, 2019
Sep. 30, 2018
Apr. 04, 2019
Indefinite-lived Intangible Assets [Line Items]          
Product samples purchased $ 23,360 $ 13,489 $ 62,304 $ 41,013  
Shiongi License And Supply Agreement | Symproic License          
Indefinite-lived Intangible Assets [Line Items]          
Upfront payment first installment to be made         $ 20,000
Upfront payment installment henceforth to be made         $ 10,000
Product samples purchased     $ 400    
Shiongi License And Supply Agreement | Symproic License | Additional Royalty As A Percentage          
Indefinite-lived Intangible Assets [Line Items]          
Tiered royalty payment as a percentage of sales 1.00%        
Shiongi License And Supply Agreement | Royalty Agreement Terms | Symproic License | Maximum          
Indefinite-lived Intangible Assets [Line Items]          
Tiered royalty payment as a percentage of sales 17.50%        
Shiongi License And Supply Agreement | Royalty Agreement Terms | Symproic License | Minimum          
Indefinite-lived Intangible Assets [Line Items]          
Tiered royalty payment as a percentage of sales 8.50%